Sisck Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SISCK INC

Practice address

914A Columbus Ave
New York, NY 10025-4040

Phone

(212) 749-2482

Fax

(212) 749-2484

NPI assigned

Sep 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Godfrey U Mbonu, M.D

Title

President

Phone

(212) 749-2482

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sisck Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sisck Inc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
  • NPI 1699819433
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447350129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914A COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254040",
            "telephone_number": "212-749-2482",
            "fax_number": "212-749-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914A COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254040",
            "telephone_number": "212-749-2482",
            "fax_number": "212-749-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISCK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MBONU",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-749-2482",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02616613",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Sirulnik, MA, LCSW
• Laura Raquel Sirulnik, M.D.
• Michelle Catherine Siry, DDS
• Marina Sisakian, MD
• Rodopi Dafna Sisamis, LMSW
• Sisck Inc
• Julianna Sisco
• Radyslava Sishchiuk, NP
• Nicole Christine Sislian, M. PHIL.
• Marcel J Sislowitz

• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.